Individual provider Active NPI

Kathryn Nesci, APN

  • Obstetrics & Gynecology Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1932658887
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
26NJ00674400 Issued in NJ
Practice address
590 W Kennedy Blvd
Lakewood, NJ 08701-1224
Phone
(732) 370-1111
NPI assigned
Oct 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 26NJ00674400 NJ Primary

Addresses

Primary practice location

590 W Kennedy Blvd
Lakewood, NJ 08701-1224

Mailing address

16 Linda LN
Tinton Falls, NJ 07724-2773
Phone (732) 618-4327

Other practice location 1

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone (888) 731-8994

Other practice location 2

16 Linda Ln
Tinton Falls, NJ 07724-2773
Phone (732) 618-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170512001903 NJ Practitioner - Nurse Practitioner 7012294416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

302 Candlewood Commons
Alan Cohen MD
Howell, NJ 07731-2170
Phone (732) 905-8111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

302 Candlewood Cmns
Howell, NJ 07731
Phone (732) 905-8111

590 W Kennedy Blvd
Lakewood, NJ 08701
Phone (732) 370-1111

1300 Highway 35
#2
Ocean, NJ 07712
Phone (732) 517-0555

99 Cherry Hill Rd
Ste 220
Parsippany, NJ 07054
Phone (973) 316-6763

530 Morris Ave
Ste 1
Springfield, NJ 07081

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kathryn.nesci.1@27010.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1932658887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LINDA LN",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242773",
            "telephone_number": "732-618-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W KENNEDY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011224",
            "telephone_number": "732-370-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gateway Ctr Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071025323",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Linda Ln",
            "address_purpose": "LOCATION",
            "city": "Tinton Falls",
            "state": "NJ",
            "postal_code": "077242773",
            "country_code": "US",
            "telephone_number": "732-618-4327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESCI",
        "first_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NJ",
            "license": "26NJ00674400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.